Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dynamic Rehabilitation Services LLC

Organization Physical Therapist · NPI 1194102434

Dynamic Rehabilitation Services LLC is a Physical Therapist in Diberville, Mississippi. Works from 3 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4016 Cassimer Ave
Diberville, MS 39540-2309
Phone: (228) 280-8120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 604 Blue Meadow Rd, Bay St Louis, MS 39520-2834 — (228) 280-8120
  • 9036 Carl Legett Rd Ste B, Gulfport, MS 39503-6234 — (228) 280-8120

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5070 (MS)

Record details

NPI number1194102434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Ellis — Physical Therapist/Owner · (228) 326-1115
Other names Neolife Pt And Wellness; Neolife Pt And Wellness
NPI enumeratedMay 6, 2015
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023
Mailing address4016 Cassimer Ave, Diberville, MS 39540-2309

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